Indication for Heparin Infusion:

ACS or AFib

DVT, PE

Concentration of Heparin Infusion:

25,000 units Heparin/250 mL NS

Some Other Concentration

Patient Weight for Dosing:

kg

lbs

Current Heparin Flow Rate:

units/hour

mL/hour

Current PTT: Sec

Bolus:

Units

Hold Time:

minutes

Rate Change Amount:

units/hour

mL/hour

New Heparin Flow Rate:

units/hour

mL/hour